A reoperation for anomalous origin of right pulmonary artery: Report of a case

A reoperation to upsize the conduit placed at infancy for the repair of an anomalous origin of the right pulmonary artery (AORPA) was successfully per formed in an 8-year-old girl because of an elevated right ventricular press ure and a reduced right pulmonary blood flow. Although primary direct anast omosis is essential for AORPA, one should not hesitate to perform a conduit repair (interposition with a tube prosthesis) on an infant with AORPA whos e right pulmonary artery is distant from the main pulmonary artery, because a reoperation can safely be performed even in cases where the conduit is r elatively narrow as the patient grows. This is the first report of a reoper ation, including a complete replacement of the conduit, after an initial co nduit repair for AORPA.